FairPoint Communications



Feeder Distribution Interface Interconnection Application

|DATE SENT |

|REVISION # |1 |(Please see Section IID) |

I. CUSTOMER INFORMATION

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|1. |Company | |

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| |Street | |

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| |City | |State | |ZIP | |

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|2. |Contact Name (for questions related to this application) | |

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| |Telephone # | | Fax # | |e-mail Address | |

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|3. |24 Hour Emergency Contact Telephone # | |

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|4. |Desired Service Date | |/ | |/ | |(in accordance with tariffed intervals) |

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|5. |ACNA | |AECN | | | |

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|6. |Billing Information | |

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| |Billing Manager Name | |

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| |Company Name | |

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| |Street Address | |

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| |City | |State | |Zip Code | |

II. FEEDER DISTRIBUTION INTERFACE INTERCONNECTION

Location of Feeder Distribution Interface Interconnection (Please be specific):

Note: The TOPIC must be installed within 100 feet of the FDI.

COLLOCATION REMOTE TERMINAL EQUIPMENT ENCLOSURE

Has a Collocation Remote Terminal Equipment Enclosure application been submitted prior to this application?

Yes Please provide the CRTEE application #: __________

No

IV. APPLICATION QUERIES: check all that apply.

Feeder Distribution Interconnect Preliminary Engineering Record Review

Feeder Distribution Interconnect Serving Addresses

V. TYPE OF INTERCONNECTION REQUESTED

1. New Arrangement

Please indicate the associated tariff code under which you are applying (see Appendix A), as well as the quantity for each type of termination requested.

|Type of Interconnection Requested |Tariff | | |

| |Code |VG 2W |VG 4W |

|Feeder Distribution Interface Interconnect| | | |

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| |Reason for Revision |FRP Control # from original application: ________ | |

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VI. TECHNICAL EQUIPMENT SPECIFICATIONS

1. Specify the type of TOPIC to be installed:

Manufacturer/Model #: ___ __________

Dimensions (HxWxD): _ _____________

Quantity: ___ ___

Modulator Connector Type: 710 Connectors 3M Connectors Blunt Cut

Note: Consolidated is responsible for all splicing of the interconnection cable to the termination block within the TOPIC. If the TOPIC is not equipped with connectors please contact your local Consolidated Outside Plant Engineer during this process.

Note: National Electric Code and National Electric and Safety Code Conformance Requirements - Consolidated requires that the TOPIC will be grounded by the Telecommunication Carrier installing the facility. Consolidated requires that a common ground location be made available to Consolidated at the date of the installation of the Interconnect Cable.

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VII. INTERCONNECT CABLE INFORMATION

Consolidated will place and splice all interconnection cable. (TOPIC TO FDI)

1. Desired origination and termination points. Be specific

2. Size of Interconnection Cable Requested. ________ (Minimum 100 pairs)

Please order in 100 pair increments. Additional facilities available in 100 pair increments.

CERTIFICATE OF INSURANCE

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|A Certificate of Insurance must be provided for all new sites prior to occupancy. |

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|Certificate Attached: |Yes | |No | |If Yes, please provide expiration date: | |

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|If No, date certificate to be provided: | |

IX. REMARKS:

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Please submit this application, all supporting documentation and applicable application fee to:

Consolidated Communications

Collocation Manager

5 Davis Farm Rd

Portland, ME 04103

E-mail Address: WholesaleCollocation@

Website:

NOTE: Failure to provide all requested information and associated documentation may result in delays in the processing of this application.

APPENDIX A

Consolidated Collocation Tariffs*

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|Federal Tariffs |Code |Products Offered |

|FCC 11 (ME, NH & VT) |FCC11 |Physical, Virtual, SCOPE and CATT, USLA |

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|State Tariffs | | |

|Maine PUC 20 |ME20 |Physical, Virtual, SCOPE & CCOE, CRTEE, USLA |

|New Hampshire PUC 84 |NH80 |Physical, Virtual, SCOPE & CCOE, CRTEE, USLA |

|Vermont PSB 22 |VT22 |Physical, Virtual, SCOPE & CCOE, CRTEE, USLA |

Note – Please check with the appropriate state commission to verify if a specific tariff is in effect

APPENDIX B

Ordering Increments for Cable Terminations

| | |FCC 11 Ordering |VT PSB 22 Ordering |ME PUC 20 Ordering |NH PUC 84 Ordering |

|PRODUCT |TYPE |Increments |Increments |Increments |Increments |

| |DS1 |1 |1 |1 |1 |

| |2W VG/LS |# |1 |1 |1 |

| |4W VG |# |1 |1 |1 |

| |FIBER* |2 |2 |2 |2 |

| |DS3 |1 |1 |1 |1 |

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|Virtual | | | | | |

| |DS1 |28 |28 |28 |28 |

| |2W VG/LS |# |100 |100 |100 |

| |4W VG |# |50 |50 |50 |

| |FIBER* |2 |2 |2 |2 |

NA = Not Available

* 2 fibers = 1 transmit and 1 receive

# Voice Grade service is not offered under tariff. Refer to the appropriate state tariff for voice grade cable terminations.

Note: When completing Section III – TYPE AND NUMBER OF TERMINATIONS TO BE CABLED – please be sure to round up to the nearest ordering increment when indicating the number of terminations to be cabled. For example, if you are requesting 40 DS1s under a tariff where there is an ordering increment of 28, you must input 56 on the chart in Section III. If you input 40, Consolidated will round to the nearest ordering increment, in this case 56, and will cable and bill accordingly.

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